Johnson, Angela
Johnson, Angela is an individual health care provider with primary practice located at 438 E Vann Rd Suite 202, Greeneville TN 37743-7202. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Angela can be contacted via phone (423) 278-1712.Contact Information
Primary practice address
438 E Vann Rd Suite 202
Greeneville TN 37743-7202
Phone: (423) 278-1712
Fax: (423) 278-1703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Wound Care | 163WW0000X | RD100377 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN6998 | Tennessee |
Profile Details
| NPI number | 1912951005 |
|---|---|
| LBN Legal business name | Johnson, Angela |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Oct 5th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912951005 | NPPES |
| Other | TN0100 | JOHN DEERE PROVIDER | |
| MEDICAID | 33485101 | JOHN DEERE PROVIDER | |
| MEDICAID | 7004058 | JOHN DEERE PROVIDER | |
| Other | 4062794 | JOHN DEERE PROVIDER |
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